Discussions that mention duragesic

Back Problems board


Hi Jennifer:

Welcome and sorry you have to be here at all.

Yes, absolutely, it's called the "domino effect". Any time you immobilize vertebre you are causing the discs below to work harder. It usually doesn't happen so soon after the fusion surgery, but I'm not an expert. I am one who suffers from the effect though. I had L1-L3 fused 23 yrs ago and the now am fused down to S1 because the lower discs were worn out and had degenerated. This can happen above also over time. Unfortunately it is a reality and I am sure you can get a dr to provide verification.

Your pain could be coming from either or both places. I am surprised that your fusion hasn't taken yet. It can take a yr or more but 18 months sounds like a long time. I would continue to get answers from the neurosurgeon. I don't see how WC could deny you any coverage with a dr's verification. Hope you get relief soon...Jo H.

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1979: Fell from scaffold onto gymnasium floor. Decompression Laminectomy L1-L3 w/Spinal Fusion and Harrington Rods Insertion.
1992: Harrington rod breakage and dislodging. Removal and refitted with smaller hardware and re fused.
2001: Pain Again. MRI inconclusive due to hardware
2001: Discogram shows bulging and DDD at L4-S1 due to domino effect
2002 Feb: 10 hr. surgery. 360 fusion and hardware extended with "connector" to S1. 3 Titanium cages placed anteriorally. Fused from L1-S1.
2002 Sept: Pain worse than before surgery.
2002 Oct: EMG shows damage to L5 and S1
2002 Oct: CT Myelogram shows clustering at the nerve root endings of L1-L2. Scar tissue causing mild arachnoiditis.
"We can't find anything "PRONOUNCED"
2002 Dec: "What To Do or What Not To Do?" That is the question.

Meds:
Duragesic Patch 50 mg
Morphine Sulf 15mg for bt pain
Wellbutrin
Relafen
Nitrofurantoin for UTI prevention
Ambien

Believing God will heal me!